[Diagnosis of a complete atrioventricular canal with infundibular pulmonary stenosis and left superior vena cava by 2-dimensional contrast echocardiography. Apropos of a surgically treated case].
The case of an eight year old child with complete atrioventricular canal, pulmonary infundibular stenosis and persistent left superior vena cava draining into the coronary sinus is reported. Two-dimensional echocardiography with injection of contrast in a left arm vein gave a precise and complete diagnosis of the malformations before catheterisation and angiography. The complete atrioventricular canal was demonstrated by apical four-chamber views. The pulmonary infundibular stenosis was visualised by a short axis subcostal view. Contrast echocardiography in the apical four-chamber view showed a right-to-left shunt at atrial level at the site of the ostium primum and a right-to-left shunt at ventricular level just below the hemivalve. The left superior vena cava was detected by a short axis suprasternal view which visualised its vertical trajectory as far as the coronary sinus. The lesions were confirmed at surgery, and a complete repair was performed.
D001283:Atrioventricular Node / Q000473:pathology* / Q000601:surgery; D002648:Child; D004452:Echocardiography; D006329:Heart Conduction System / Q000473:pathology*; D006352:Heart Ventricles / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D008297:Male; D011666:Pulmonary Valve Stenosis / Q000175:diagnosis* / Q000601:surgery; D014683:Vena Cava, Superior / Q000473:pathology* / Q000601:surgery
Diagnostic d'un canal atrio-ventriculaire complet avec sténose infundibulaire pulmonaire et veine cave supérieure gauche par l'échocardiographie bidimensionnelle de contraste. A propos d'un cas opéré.